KENTUCKIANA COMFORT CENTER, INC / KENTUCKIANA CURB CAFETERIA PLAN
|
2020
|
600915072
|
2021-10-11
|
KENTUCKIANA COMFORT CENTER INC
|
802
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
2002-01-01
|
Business code |
238220
|
Sponsor’s telephone number |
5024919880
|
Plan sponsor’s mailing address |
2716 GRASSLAND DR, LOUISVILLE, KY, 402992526
|
Plan sponsor’s
address |
2716 GRASSLAND DR, LOUISVILLE, KY, 402992526
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2021-10-06 |
Name of individual signing |
ANTHONY BALBACH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-10-06 |
Name of individual signing |
ANTHONY BALBACH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KENTUCKIANA COMFORT CENTER, INC / KENTUCKIANA CURB CAFETERIA PLAN
|
2019
|
600915072
|
2020-07-30
|
KENTUCKIANA COMFORT CENTER INC
|
687
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
2002-01-01
|
Business code |
238220
|
Sponsor’s telephone number |
5024919880
|
Plan sponsor’s mailing address |
2716 GRASSLAND DR, LOUISVILLE, KY, 402992526
|
Plan sponsor’s
address |
2716 GRASSLAND DR, LOUISVILLE, KY, 402992526
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2020-07-30 |
Name of individual signing |
ANTHONY BALBACH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-07-30 |
Name of individual signing |
ANTHONY BALBACH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KENTUCKIANA COMFORT CENTER. INC / KENTUCKIANA CURB CAFETERIA PLAN
|
2018
|
600915072
|
2019-07-30
|
KENTUCKIANA COMFORT CENTER, INC
|
619
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
2002-01-01
|
Business code |
238220
|
Sponsor’s telephone number |
5024919880
|
Plan sponsor’s mailing address |
2716 GRASSLAND DR, LOUISVILLE, KY, 402992526
|
Plan sponsor’s
address |
2716 GRASSLAND DR, LOUISVILLE, KY, 402992526
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2019-07-30 |
Name of individual signing |
ANTHONY BALBACH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-07-30 |
Name of individual signing |
ANTHONY BALBACH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KENTUCKIANA COMFORT CENTER, INC/KENTUCKIANA CURB CAFETERIA PLAN
|
2017
|
610915072
|
2018-07-31
|
KENTUCKIANA COMFORT CENTER, INC.
|
309
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
2002-01-01
|
Business code |
238220
|
Sponsor’s telephone number |
5024919880
|
Plan sponsor’s mailing address |
2716 GRASSLAND DR, LOUISVILLE, KY, 402992526
|
Plan sponsor’s
address |
2716 GRASSLAND DR, LOUISVILLE, KY, 402992526
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2018-07-31 |
Name of individual signing |
ANTHONY BALBACH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-07-31 |
Name of individual signing |
ANTHONY BALBACH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KETNCUKIANA COMFORT CENTER INC/ KENTUCKIANA CURB CAFETERIA PLAN
|
2016
|
610915072
|
2017-10-12
|
KENTUCKIANA COMFORT CENTER INC
|
283
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
2002-01-01
|
Business code |
238220
|
Sponsor’s telephone number |
5024919880
|
Plan sponsor’s mailing address |
2716 GRASSLAND DR, LOUISVILLE, KY, 402992526
|
Plan sponsor’s
address |
2716 GRASSLAND DR, LOUISVILLE, KY, 402992526
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2017-10-12 |
Name of individual signing |
ANTHONY BALBACH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KENTUCKIANA COMFORT CENTER, INC./KENTUCKIANA CURB CAFETERIA PLAN
|
2015
|
610915072
|
2016-10-07
|
KENTUCKIANA COMFORT CENTER, INC.
|
431
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
2002-01-01
|
Business code |
238220
|
Sponsor’s telephone number |
5024919880
|
Plan sponsor’s mailing address |
2716 GRASSLAND DR, LOUISVILLE, KY, 402992526
|
Plan sponsor’s
address |
2716 GRASSLAND DR, LOUISVILLE, KY, 402992526
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2016-10-06 |
Name of individual signing |
ANTHONY BALBACH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-10-06 |
Name of individual signing |
ANTHONY BALBACH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KENTUCKIANA COMFORT CENTER, INC./KENTUCKIANA CURB CAFETERIA PLAN
|
2014
|
610915072
|
2016-10-07
|
KENTUCKIANA COMFORT CENTER, INC.
|
365
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
2002-01-01
|
Business code |
238220
|
Sponsor’s telephone number |
5024919880
|
Plan sponsor’s mailing address |
2716 GRASSLAND AVENUE, LOUISVILLE, KY, 40299
|
Plan sponsor’s
address |
2716 GRASSLAND AVENUE, LOUISVILLE, KY, 40299
|
Plan administrator’s name and address
Administrator’s EIN |
610915072 |
Plan administrator’s name |
KENTUCKIANA COMFORT CENTER, INC. |
Plan administrator’s
address |
2716 GRASSLAND AVENUE, LOUISVILLE, KY, 40299 |
Administrator’s telephone number |
5024919880 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2016-10-06 |
Name of individual signing |
ANTHONY BALBACH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-10-06 |
Name of individual signing |
ANTHONY BALBACH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KENTUCKIANA COMFORT CENTER, INC./KENTUCKIANA CURB CAFETERIA PLAN
|
2014
|
610915072
|
2015-07-27
|
KENTUCKIANA COMFORT CENTER, INC.
|
365
|
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
2002-01-01
|
Business code |
238220
|
Sponsor’s telephone number |
5024919880
|
Plan sponsor’s mailing address |
2716 GRASSLAND AVENUE, LOUISVILLE, KY, 40299
|
Plan sponsor’s
address |
2716 GRASSLAND AVENUE, LOUISVILLE, KY, 40299
|
Plan administrator’s name and address
Administrator’s EIN |
610915072 |
Plan administrator’s name |
KENTUCKIANA COMFORT CENTER, INC. |
Plan administrator’s
address |
2716 GRASSLAND AVENUE, LOUISVILLE, KY, 40299 |
Administrator’s telephone number |
5024919880 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2015-07-27 |
Name of individual signing |
ANTHONY BALBACH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KENTUCKIANA COMFORT CENTER, INC./KENTUCKIANA CURB CAFETERIA PLAN
|
2013
|
610915072
|
2014-07-30
|
KENTUCKIANA COMFORT CENTER, INC.
|
173
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
2002-01-01
|
Business code |
238220
|
Sponsor’s telephone number |
5024919880
|
Plan sponsor’s mailing address |
2716 GRASSLAND AVENUE, LOUISVILLE, KY, 40299
|
Plan sponsor’s
address |
2716 GRASSLAND AVENUE, LOUISVILLE, KY, 40299
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2014-07-29 |
Name of individual signing |
ANTHONY BALBACH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-07-29 |
Name of individual signing |
ANTHONY BALBACH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|